Inspection on 06/06/06 for Marlfield House

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Marlfield House 08/08/07

Marlfield House 30/01/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Marlfield House Gilbert White Way Wooteys Alton Hampshire GU34 2LF Lead Inspector Marilyn Lewis Unannounced Inspection 6th June 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Marlfield House Address Gilbert White Way Wooteys Alton Hampshire GU34 2LF 01420 83973 01420 542362 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Hampshire County Council To Be Confirmed Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40) of places Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate one service user date of birth 14/08/1941 in the DE category. 30th January 2006 Date of last inspection Brief Description of the Service: Marlfield is a Local Authority Home that was purpose built and has provision for 40 residents. The home was registered in July 2005. There is an acting Nurse Manager in post following the resignation of the previous manager and temporary manager. The Registered Provider is Hampshire County Council. Accommodation is over two floors; a lift and stairs serve both floors. All bedrooms are en suite and there are a number of lounges and dining areas. The Home provides nursing care for men and women over the age of 65 years who may also experience dementia. The Home also provides respite care. The building is situated in landscape grounds with a central paved courtyard, water feature and sensory gardens. The acting manager stated in the Pre Inspection Questionnaire that fees for the home were £434 a week plus nursing contribution. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 6th June 2006. The inspector met with seven or the fourteen service users currently resident at the home, two visitors, a trained nurse, three carers and the home’s acting manager. A tour of the home was undertaken and records were seen including care plans, medication records, staff recruitment and training, complaints and accidents and fire records. What the service does well: What has improved since the last inspection? At the time of the last inspection staff required training in caring for people with dementia. Since then a training programme has been arranged and care staff have either completed a training course in dementia care or are in the process of attending training sessions. During the last inspection it was not possible to look at the system for handling service users personal money. At this visit the system was looked at and records seen were up to date and matched with monies held. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 and 6 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. No one is admitted to the home without a care needs assessment to ensure the home can meet their needs and prospective service users and their relatives have the opportunity to visit the home before making a decision. The home’s Statement of Purpose and Service User Guide require up dating to give clear information about life at the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place that is given to prospective service users and their relatives to inform them of life at the home. Information on the people who are eligible for admission to the home is provided plus topics such as key working, service user meetings and care planning. The documents require updating as they describe the home, while being shared with service users from the residential unit, who were accommodated in the nursing home during the refurbishment of their own home. Manager details also need updating. A new manager is due to take up their post in mid June Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 9 and service users from the residential home return to their building at the same time. It was agreed with the acting manager, that the documents would be updated when the changes had taken place. An assessment of care needs for each service user is provided by the person’s care manager and the manager of the home also completes a pre admission assessment. Pre admission assessments seen for five service users covered all aspects of care needs including past and present medical history, mobility, personal hygiene, behaviour and hobbies and interests. Service users spoken with had not visited the home before admission but their relatives had visited and met with staff on their behalf. At the time of the last inspection the home was not able to meet the needs of service users with dementia, as there was a lack of staff training in this area. Since then three trained nurses and all care staff have commenced a four-day training programme in dementia care. The acting manager is a trained nurse in mental health and has experience in caring for people with dementia. Two trained nurses have also received training in the use of a syringe driver used for pain relief as this was also found to be an area of training need. Records seen indicated that staff asked for advice and support from specialists such as the Psycho geriatrician to support service users. The home offers respite care but it does not provide intermediate care. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to the service. Service users are protected by the home’s clear procedures for handling medicines but service user’s health personal and social care needs may not be fully met due to the requirement for care plans to reflect the current needs of the service users. EVIDENCE: Care plans were seen for five service users. The plans were developed from the care needs assessments and covered all aspects of care needs including communication, personal care, dressing and mobility. The plans showed evidence of review but did not clearly identify changes required to the plans to fully support the service user, such as a plan that stated ‘certain area implemented’ but did not state which areas of the plan were to be followed. One service user said that they had been involved with a review of their care plan but others had not. There was no indication in the plans as to whether the plans were discussed and agreed with the service users or if appropriate their relatives. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 11 The care plans also required updating to provide current information on care needs as one care plan seen stated on review that the nutritional plan was to continue unchanged but the GP had prescribed supplement drinks that were not included in the plan. Records seen indicated that service users were visited by GPs, dentists, opticians and occupational therapists, as necessary. A service user spoken with said that their GP visited regularly and on request. The home has procedures in place for handling medicines including the recording of medicines entering the home and for the disposal of unwanted items. Medication records seen had been completed appropriately and the records for controlled medicines matched the amount held. Medicines were stored securely. A trained nurse who had recently started work at the home was shadowing a senior nurse, while she administered medication, giving an opportunity for her to get to know service users and the medicines currently in use. Information leaflets were available on the medication used in the home but a more up to date guidebook on medication, for staff, was required. The acting manager said that he would arrange for a new guidebook to be provided. At the time of the inspection there were no service users who administered their own medication. During the inspection visit staff were seen to care for service users in a friendly and respectful manner. They knocked on doors and waited before entering rooms and closed doors before attending to the needs of the service user. Five service users spoken with commented on the kindness of the care staff and said that they felt they were treated with respect at all times. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. The judgement is made using available evidence including a visit to the service. Service users are able to exercise choice over their lives, receive visitors as they wish and enjoy varied and well presented meals in a relaxed atmosphere. Service users would benefit from being offered a wider range of activities. EVIDENCE: The home does not employ an activities co-ordinator. The acting manager said that staff arrange activities when time allows and that while the building is being shared with service users from the residential unit, main activities such as music sessions, are being offered on a joint basis. An event based on the football World Cup was being arranged as a theme day. Service users spoken with said that they felt they had enough to do and were content to spend time in the garden or one of the lounges, reading newspapers and watching the television. One service user said that she appreciated being able to spend time in her room and enjoyed doing crosswords. A relative said that when visits were made to the home, there seemed to be a lack of activities available for service users. The acting manager said that when service users from the residential unit return to their own building, a more structured activities programme would be Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 13 required and this was under discussion with staff. Service users interests were recorded in the care plans seen and the acting manager said that this information was going to be taken into account when looking at improving the activities offered. Relatives and friends are able to visit at any time. Three visitors spoken with said that they were always made to feel welcome. All visitors enter via the reception area and are admitted to the home by a member of staff, ensuring that no one can enter unnoticed. Visitors must also sign the visiting records on entering and leaving the premises. Service users are able to entertain their visitors in any of the communal areas, which includes quiet areas, or in the privacy of their own room. During the inspection visit it was evident that service users were able to exercise choice over their lives. Staff were observed offering service users choice such as where they would like to sit when in the lounge and dining room, which programme they would prefer to watch on television and which clothes they would like to wear. A service user said ‘ Staff listen to me and let me make my own decisions’. A visitor said that their relative had not been dressed in clothing appropriate for the warm weather. This was brought to the attention of the acting manager who immediately went to address the issue. The home shares the kitchen facilities with the residential unit. At the time of the last inspection, meals were being prepared in two portacabins while the kitchens were being refurbished. Work has now been completed and the cook said that the facilities were good. The kitchens looked clean and food was stored appropriately, with fridge and freezer temperatures being monitored and recorded and food stored covered and dated. The cook had information on the special diets required and a communication book noted any changes of meals or service users individual requests. Menus seen indicated that meals offered gave choice and variety. All service users spoken with said that the food provided was good and they enjoyed the meals. At lunch on the day of the inspection visit, there was a choice of steamed bacon and onion pudding or vegetable bake with carrots, cabbage and potatoes, followed by rice pudding or yoghurt. Meals were well presented, staff assisted service users in a friendly manner and there was a relaxed atmosphere in the dining room. Some service users chose to have their meal in their own rooms. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. Service users feel any concerns raised will be listened to and acted upon by staff and they are safeguarded by staff awareness of abuse issues. EVIDENCE: The home has clear complaints procedures in place and each service user is given a copy of the procedures on admission and a copy was displayed on a notice board for visitors. The procedures indicate who will investigate the complaint and timescales for the process. One complaint had been logged since the last inspection and the records seen indicated that this was dealt with promptly. Two visitors said that they would take any concerns to the manager and three service users spoken with also said that they would speak with a member of staff or the manager. During the inspection visit it was evident that service users and visitors were able to talk with the manager or staff members as they wished. Procedures, including Hampshire County Council’s ‘Protection of Vulnerable Adults’ are available to advise staff on abuse issues and for them to follow should abuse be suspected. Two staff members spoken with were aware of the procedures and indicated that they would not hesitate to take action should they have any concerns. Records seen indicated that staff had received training in adult protection issues. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 15 Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. Marlfield House provides a pleasant, clean and safe environment for all those who live and visit there. EVIDENCE: Marlfield Nursing Home was purpose built and opened in July 2005. Accommodation is provided on two floors with stairs and a lift providing access between floors. All service users have a single bedroom, twenty-four situated on the first floor and sixteen on the ground floor. Bedrooms are provided with en-suite toilet facilities. Some bedrooms are fitted with overhead hoists and specialist beds to meet the care needs of service users. Bathrooms and shower rooms are also fitted with overhead hoists to assist service users with poor mobility. Bedrooms seen contained many personal items and service users spoken with all liked their rooms, with one saying ‘it has all I need’. Lounges and dining areas seen looked clean and bright and were provided with suitable furniture and fittings. A service user said that the chairs in the lounge Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 17 were comfortable. Kitchenette areas are provided in the dining areas for drinks and snacks to be prepared. A call alarm system is available throughout the home. The gardens are enclosed and seating is provided on patio areas. At the time of the inspection, several service users and some visitors spoken with said that it was very pleasant being able to sit out in the garden. While the building is being shared service users from the nursing wing are being accommodated on the ground floor only, with the first floor allocated for use by the residential unit. Currently fourteen service users are receiving nursing care. All areas of the home looked clean and décor and furnishings were in good condition. Staff receive training in infection control and protective clothing such as disposable gloves and aprons were readily available. The home’s laundry facilities provide staff with hand washing facilities and has the equipment required including those for dealing with soiled items. Hampshire County Council’s maintenance team are responsible for the upkeep of the property. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The quality outcome in this area is adequate. The judgement has been made using available evidence including a visit to the home. Service users are protected by the home’s recruitment procedures, but their needs may not be fully met by the lack of staff training to NVQ level. EVIDENCE: At present, the home employs an acting manager, eight trained nurses and ten carers. The acting manager said that staffing levels are being adjusted to the number and needs of the service users, with numbers increasing as additional service users are admitted. At the time of the inspection visit the acting manager, two nurses and three carers were on duty. Staff spoken with said that they felt a minimum of five staff members were required for the morning shift and that there had been occasions when there had only been four. Service users also said that there were times when less staff were on duty and they felt staff were under pressure to provide the care required. This was discussed with the acting manager who said that he was aware of staff and service users concerns and had arranged for staffing levels to be maintained at the higher level. Staff rotas seen for the following weeks confirmed this. All staff spoken with said that they enjoyed working at the home and service users comments included ‘ lovely staff’ and ‘staff are smashing’. One service user said that staff ‘couldn’t be faulted.’ Currently no care staff member holds or is in the process of obtaining a National Vocational Qualification (NVQ). The acting manager is aware of the Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 19 requirement for fifty percent of care staff to hold or be working towards the qualification. Staff spoken with said they were interested in doing the course but were unable to access one. Recruitment records were seen for four staff members. The records contained all the documentation required including proof of identity and two written references. A reference for one person from overseas had not been translated into English and this was discussed with the acting manager who said that this would be arranged and that in future checks would be made to ensure references were translated before the person was accepted for employment. The records indicated that Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks had been completed before staff commenced work at the home. A requirement was made at the last inspection for staff to receive training in providing dementia care. Training has since been arranged and staff have either received the training or are in the process of attending training sessions. The acting manager said that a need for some staff members to receive training in the use of syringe drivers, used for the relief of pain, had also been identified and addressed, with two nurses now trained to use the equipment. Records seen indicated that staff were receiving mandatory training in moving and handling, infection control and food hygiene. All new staff had completed an induction programme that covered all aspects of care provision. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38 Quality outcome in this area is adequate. The judgement has been made using available evidence including a visit to the service. Service users have the opportunity to talk with the acting manager and their financial interests are safeguarded by the home’s clear procedures for dealing with money. However the lack of leadership and stable management, staff supervision and staff who require fire drill practice, could result in service user’s health, safety and welfare being put at risk EVIDENCE: Since the home opened two managers have been employed and left and an acting manager is managing the home until another new manager takes up their position at the end of June 2006. Staff spoken with said that the lack of stability at manager level has been unsettling and although they found the Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 21 acting manager helpful, they were looking forward to a new manager who will be able to give leadership and support. It was evident during the inspection visit that service users and their relatives were able to speak with the acting manager and staff members with ease. The acting manager said that although at present there were no service user meetings arranged, there was an opportunity for them to provide feedback on the quality of care provided through one to one meetings as he meets with each service user on a daily basis. The last meeting for staff had been held six months ago but notices in the office stated that a meeting for all staff had been arranged for later in the month. The home holds a small amount of service user’s money. The monies are stored securely in the safe and records are kept of all transactions. Records seen for two service users matched the amount of money held. Although some staff have been receiving support through one to one meetings, not all are receiving supervision. The acting manager had already discussed this with his line manager and arrangements were in place for supervisions sessions to be provided for all staff members. The home has policies and procedures in place for all aspects of care provision including confidentiality, medication, care of the dying and service users right to privacy and respect. The policies and procedures had not been reviewed to ensure staff were provided with up to date information. The home has an emergency plan in place for the evacuation of the building and risk assessments have been undertaken for each service user. Records seen indicated that fire safety checks were completed as required. However the records seen indicated that some staff had not attended fire drills. A requirement was issued for all staff to attend fire drills. Since the inspection visit the acting manager has contacted the commission to confirm that all staff have attended a fire drill. Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 2 2 2 Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(2) (b) (c) Requirement Care plans must reflect the current needs of the service users and where possible, service users or their relatives/representatives are involved in the development and review of the plans. Care staff must have the opportunity to obtain National Vocational Qualifications level 2 or above in care. The home’s policies and procedures must be reviewed annually so as to provide staff with up to date information. All staff must attend fire drills and a record of attendance must be kept available at the home. Timescale for action 31/07/06 2. OP28 18 (1)(c) 30/09/06 3. OP37 13(4)(c) 31/08/06 4. OP38 23 (4)(e) 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 24 Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Marlfield House DS0000063857.V299899.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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